Applicant Information

*Last Name:

*First Name:

M.I.:

*Address:

*City:

*State:

*Zip:

*Phone:

Email:

Date Available:

Desired Salary:

Position Applied For:

*Are you a citizen of the US?:

Yes

If no, are you authorized to work in the US?:

Yes

*Have you ever been convicted of a felony?:

Yes

If yes, please explain:

*Have you ever worked for this company?:

Yes

If yes, when?:

*Have you ever applied with us before?:

Yes

If yes, when?:

Have you ever been our guest before?:

Yes

Hours of availability (Mon-Sat)?:

How did you hear about Cloud 9?:

Education

High School

Name:

Address:

Did you graduate high school?:

Yes

Degree:

College

Name:

Address:

Did you graduate from college?:

Yes

Degree:

Other

Name:

Address:

Did you graduate?:

Yes

Degree:

Note: Massage Therapists, Cosmetologists, Skin Specialists, Nail Technicians please email/fax a copy of your Florida License.

References

Pleast list three PROFESSIONAL references below.

Reference #1

Full Name:

Relationship:

Company:

Phone:

Reference #2

Full Name:

Relationship:

Company:

Phone:

Reference #3

Name:

Relationship:

Company:

Phone:

Previous Employment

Previous Employer 1

Company:

Address:

Phone:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Start / End Dates:

Reason for Leaving:

May we contact your previous supervisor for a reference?:

Yes

Previous Employer #2

Company:

Address:

Phone:

Supervisor:

Job Title:

Start Salary:

Ending Salary:

Responsibilities:

Start / End Dates:

Reason for Leaving:

May we contact your previous supervisor for a reference?:

Yes

Previous Employer #3

Company:

Address:

Phone:

Supervisor:

Title:

Starting Salary:

Ending Salary:

Responsibilities:

Start / End Dates:

Reason for Leaving:

May we contact your previous supervisor for a reference?:

Yes

Military Service

Branch:

Start / End Dates of Service:

Rank at Discharge:

Type of Discharge:

If other than honorable, please explain:

Disclaimer

By submitting this online application, I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

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